In this video, thoracic surgeon Joseph E. Bavaria, MD of Penn Medicine talks about solutions for ascending aortic arch (conventional and graft hybrid techniques) and discussing a new paradigm of open Zone 2 Arch with Sequential (delayed) TEVAR during Terumo Aortic’s Journey through the Aorta event, 2021. The talk ends with a General Penn algorithm on management of the arch in Acute DeBakey I Dissection and a good discussion between Dr. Bavaria and Dr. Robin Heijmen. Dr. Bavaria is Penn’s Director of Thoracic Aortic Surgery and past President of The Society of Thoracic Surgeons. Dr. Robin Heijmen is a renowned Cardiothoracic surgeon at St. Antonius Hospital, Nieuwegein.